UnitedHealthcare Insurance

I am sick and need to visit the doctor/dentist/hospital. What do I do?

YOU DON’T NEED TO CALL ME BEFORE YOU GO TO A DOCTOR.  The most important thing is that you call 1.877.643.5130   PIN 211 to speak to a Nurse BEFORE YOU GO TO THE DOCTOR.  This phone number is listed on your card.     This phone number is available 7 days a week and 24 hours a day. 

Here are the primary resources:

Website: www.uhcsr.com/aupaircare

Dedicated phone #: 1-866-548-8472(this number is to speak to someone about claims, coverage and general questions but NOT to speak to a nurse).

Preferred Provider Lookup: https://www.providerlookuponline.com/UHC/po7/Search.aspx

UHC FAQs: https://www.uhcsr.com/SelfServiceSupport/Students/faqs.aspx

At the above website you can find the policy summary flyer as well as the detailed coverage brochure. They are also attached, along with a blank claim form.

What does this mean for you? Here are some highlights of the enhancements:

·         Online, Self-Service Model: Each month APC will provide a list of new participants to UHC. UHC will then send an email to each participant stating that they can log into the UHC website and create a MyAccount to print their new ID cards. This means we will no longer have to print or reprint cards. Yippee!

·         Auto-Reminder to Enroll: If they have not yet created a MyAccount within 14 days of receiving the initial email, they will receive another email from the Message Center asking them to do so.

·         24/7/365 Nurse Hotline: Designed to prevent unnecessary and costly trips to the ER, au pairs can now call a nurse hotline at any hour of the day if they are having symptoms and need advice about whether to see a doctor. Like AVI, this new insurance is still a Travel & Emergency Policy only and is not a comprehensive medical plan. We always want to encourage an Au Pairs to call the Nurse Hotline instead of going to the ER, which may not be covered.                                      

      1.877.643.5130   PIN 211 – Nurse Line 24 hours a day and 7 days a week.

·         Preferred Provider Network: Like traditional insurance plans, a participant will only receive 100% coverage (for a covered service) if they go to an in-network Preferred Provider. This cannot be stressed enough. We want to always remind the AP to stay within the network of Preferred Providers.

Link to find Preferred Providers: https://www.providerlookuponline.com/UHC/po7/Search.aspx

(A list of preferred providers(places that accepts your Insurance) was given to you in the welcome folder when you arrived).

It is very important you talk to your host family how you are feeling and they can also help you get medicine from the Pharmacy.  Many people get a bad cough during the winter months, I have found that Robitussin or Delsym helps my cough and you can purchase this without seeing a doctor.  There is also night time cough medicine that will help you sleep. Many coughs can last 2-4 weeks even when you take medicine and see a doctor.

When you go to the Doctor, TAKE ALL YOUR INSURANCE PAPERS WITH YOU(including your claim form) and it could be helpful to print off any information from the website before you go and give it to the Nurse at the Desk. This could help you and they might bill the Insurance Company first and not charge you. But they might not do it either so you need to bring money with you. The cost is approximately $75-$100 to see a doctor at the Urgent Care.
Emergency room visits that do not result in admittance to a medical facility or are not necessary in order to treat an acute illness or accident will result in a non-emergency co-pay deductible payment of $250 that the au pair will have to pay.

Overview of Enrollment Process:
1. 5 days prior to arrival (or extension), au pair will receive email from UHC to create My Account
      a. 1-2 weeks prior for 30-day grace period

2. Au pair creates My Account at https://www.uhcsr.com/createaccount

3. From My Account, au pair can print ID card and access the following:
a. Current coverage
b. Claims status
c. Locate a Network Provider
d. Update personal info
e. Message center
f. Submit other insurance
g. Submit Accident Details or PRA Information
h. Ancillary product information